Evidence map›Paper›PMID 22027477›Full record

ArticleGut2012

Postmenopausal hormone therapy and colorectal cancer risk by molecularly defined subtypes among older women.

David Limsui, Robert A Vierkant, Lori S Tillmans, Alice H Wang, Daniel J Weisenberger, Peter W Laird, Charles F Lynch, Kristin E Anderson, Amy J French, Robert W Haile and 7 more

Open access · greenAbstract read
In one paragraph

Article in Gut, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Circulating Sex Hormone Levels and Colon Cancer Risk in Men: A Nested Case-Control Study and Meta-Analysis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Pooled it
  2. Postmenopausal hormone therapy and colorectal cancer risk in relation to somatic KRAS mutation status among older women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012
    Trial
  3. Article
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  5. Estrogen Receptor-β Gene Cytosine-Adenine (International journal of molecular sciences · 2023
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  9. Article
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  11. Review
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  13. Article
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  15. Article
  16. Colorectal cancer.Nature reviews. Disease primers · 2015
    Review
  17. Associations between Environmental Exposures and Incident Colorectal Cancer by ESR2 Protein Expression Level in a Population-Based Cohort of Older Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2015
    Article
  18. Review
  19. Article
  20. Associations between cigarette smoking, hormone therapy, and folate intake with incident colorectal cancer by TP53 protein expression level in a population-based cohort of older women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 1 country.

David LimsuiDivision of Gastroenterology & Hepatology, Mayo Clinic, Rochester, MN, USA. limburg.paul@mayo.edu
Robert A Vierkant
Lori S Tillmans
Alice H Wang
Daniel J Weisenberger
Peter W Laird
Charles F Lynch
Kristin E Anderson
Amy J French
Robert W Haile
Lisa J Harnack
John D Potter
Susan L Slager
Thomas C Smyrk
Stephen N Thibodeau
James R Cerhan
Paul J Limburg
Mayo Clinic · USMayo Clinic in Florida · USUniversity of Minnesota · USUniversity of Southern California · USFred Hutch Cancer Center · USSouthern California University for Professional Studies · USUniversity of Iowa · US

Funding

Molecular Epidemiology of Colorectal Cancer SubtypesR01CA107333 · NCI · MAYO CLINIC ROCHESTER · PI LIMBURG, PAUL J · 2005 to 2010
$1.4M
NCI NIH HHS R01 CA107333
6 · The paper itself

Abstract

backgroundPostmenopausal hormone (PMH) therapy may reduce colorectal cancer (CRC) risk, but existing data are inconclusive.

objectivesTo evaluate associations between PMH therapy and incident CRC, overall and by molecularly defined subtypes, in the population-based Iowa Women's Health Study of older women.

methodsExposure data were collected from Iowa Women's Health Study participants (55-69 years) at baseline (1986). Archived, paraffin-embedded tissue specimens for 553 CRC cases were collected and analysed to determine microsatellite instability (MSI-L/MSS or MSI-H), CpG island methylator phenotype (CIMP-negative or CIMP-positive) and BRAF mutation (BRAF-wildtype or BRAF-mutated) status. Multivariable Cox regression models were fit to estimate RRs and 95% CIs.

resultsPMH therapy (ever vs never use) was inversely associated with incident CRC overall (RR=0.82; 95% CI 0.72 to 0.93), with a significantly lower risk for MSI-L/MSS tumours (RR=0.75; 95% CI 0.60 to 0.94), and borderline significantly lower risks for CIMP-negative (RR=0.79; 95% CI 0.63 to 1.01) and BRAF-wildtype (RR=0.83; 95% CI 0.66 to 1.04) tumours. For PMH therapy >5 years, the subtype-specific risk estimates for MSI-L/MSS, CIMP-negative and BRAF-wildtype tumours were: RR=0.60, 95% CI 0.40 to 0.91; RR=0.68, 95% CI 0.45 to 1.03; and RR=0.70, 95% CI 0.47 to 1.05, respectively. PMH therapy was not significantly associated with the MSI-H, CIMP-positive or BRAF-mutated CRC subtypes.

conclusionsIn this prospective cohort study, PMH therapy was inversely associated with distinct molecularly defined CRC subtypes, which may be related to differential effects from oestrogen and/or progestin on heterogeneous pathways of colorectal carcinogenesis.

Indexed as

Estrogen Replacement TherapyPostmenopauseAgedCohort StudiesColorectal NeoplasmsFemaleHumansIncidenceIowaMicrosatellite InstabilityMiddle AgedMutationProportional Hazards ModelsProspective StudiesProto-Oncogene Proteins B-rafRegistriesBRAF protein, humanProto-Oncogene Proteins B-raf

Identifiers

PMID22027477
PMCPMC3584677
OpenAlexW2138314493

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.